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Infection and Immunity, May 2007, p. 2374-2380, Vol. 75, No. 5
0019-9567/07/$08.00+0 doi:10.1128/IAI.01465-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Departments of Microbiology,1 Pathology, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee2
Received 13 September 2006/ Returned for modification 23 October 2006/ Accepted 10 February 2007
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Studies to determine the role of cHsp60 and immunopathogenesis are still being performed. Recently, workers have examined the initial interactions of cHsp60 with host cells that induce an inflammatory response. For example, cHsp60 interacts with Toll-like receptor 4, which stimulates the proliferation of human vascular smooth muscle cells (47), activates macrophages, and activates endothelial cells (8). The interaction between cHsp60 and Toll-like receptor 4 also leads to apoptosis in primary human trophoblasts, placental fibroblasts, and a trophoblast cell line by both caspase-dependent and -independent pathways (18). cHsp60 and other microbial ligands can also activate mononuclear cells by binding to CD14, the monocyte receptor for lipopolysaccharide (32). Although cHsp60 clearly plays a prominent role in chlamydial pathogenesis, it is not the only molecule involved. The genetically linked protein cHsp10, encoded by the groES gene upstream of groEL-1, is also associated with disease complications (6, 23, 27, 33). Moreover, several studies have demonstrated that genetic predisposition plays a significant role in chronic chlamydial disease (10, 12, 38). Perhaps most interesting is the fact that cHsp60 has been used in a human trial involving women at high risk for C. trachomatis infection; cHsp60 was used to stimulate the patients peripheral blood mononuclear cells to produce gamma interferon (IFN-
), and the results indicated that a protective response against incidental infection developed (11).
Our laboratory is involved in identifying and analyzing C. trachomatis proteins that respond to iron restriction, as well as the mechanisms involved (42, 43, 55); cHsp60 is one of several proteins whose expression increases significantly during iron limitation in vitro (43). It is known that iron sources and the availability of iron fluctuate in menstruating women due to the cyclic pressures of estrogen and progesterone (1, 29); active or persistent C. trachomatis organisms in the reproductive tract are therefore likely to respond to this dynamic environment using transcriptional, translational, or posttranslational mechanisms to alter the production of specific chlamydial proteins. While we are not involved in direct studies of persistent chlamydiae, which have been defined as viable but nonculturable organisms (3), iron deprivation is one of several modes for induction of persistent chlamydiae (22, 39, 43). In women with tubal factor subfertility, cHsp60 is a serological marker for persistence (15) along with chlamydial proteasome/protease-like activity factor (48). However, the results of recent studies with C. psittaci (22) and C. pneumoniae (39) indicate that cHsp60 is not a general marker for persistence.
When the complete sequence of the C. trachomatis serovar D chromosome became available, one of many surprises was that there are three open reading frames (ORF) that code for groEL-related proteins (49). These ORF are located in separate regions of the chromosome and designated as follows: CT110 or groEL-1, encoding cHsp60-1; CT604 or groEL-2, encoding cHsp60-2; and CT755 or groEL-3, encoding cHsp60-3. Only groEL-1 is preceded by groES. Matching cHsp60s in different Chlamydia species appear to be conserved in the sequences that are currently available. For example, the predicted level of amino acid sequence identity between cHsp60-1 in C. trachomatis serovar D and cHsp60-1 in C. pneumoniae AR39 is 91%. However, there are considerable differences between cHsp60-1, cHsp60-2, and cHsp60-3 in a given species or serovariant. In C. trachomatis serovar D, the levels of amino acid identity and similarity between cHsp60-1 and cHsp60-2 are 23 and 19%, respectively; the levels of amino acid identity and similarity between cHsp60-1 and cHsp60-3 are 18 and 20%, respectively; and the levels of amino acid identity and similarity between cHsp60-2 and cHsp60-3 are 17 and 15%, respectively (28, 35, 49).
Although the majority of previous studies clearly involved cHsp60-1, as confirmed by sequence analysis, certain studies, including our study (43), generated new questions concerning the extent to which each cHsp60 responds to a given microenvironment, especially a microenvironment leading to chlamydial persistence. Thus, the purpose of this study was to determine which cHsp60 is iron responsive in C. trachomatis serovar E.
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Escherichia coli LMG194(pBAD/HisA) was used to engineer and overexpress each cHsp60. The recombinants expressing cHsp60-1, cHsp60-2, and cHsp60-3 were designated E. coli LMG194(pJER516), LMG194(pJER517), and LMG194(pJER518), respectively. Each recombinant E. coli was grown in reduced medium (Invitrogen, Carlsbad, CA) containing 0.2% (wt/vol) glucose and 100 µg/ml ampicillin (Sigma-Genosys, The Woodlands, TX) to the mid-log phase (A600, 0.4 to 0.6) at 37°C. Cultures were subsequently centrifuged, washed, and resuspended in prewarmed glucose-free medium. Arabinose was then added to each culture for 4 h of induction. Maximum expression of cHsp60-1 and cHsp60-2 in E. coli LMG194(pJER516) and LMG194(pJER517) required 0.002% (wt/vol) arabinose, whereas maximum expression of cHsp60-3 in E. coli LMG194(pJER518) required 20% (wt/vol) arabinose.
DNA amplification, cloning, and sequence analysis. The primers used for PCR amplification of the chlamydial groEL genes were designed using the genome sequence of C. trachomatis serovar D (49). The reactions were carried out with an Expand High Fidelity PCR system kit (Roche, Nutley, NJ) in the presence of 0.5 pmol of forward, 0.5 pmol of reverse primer, and 10-fold (1:10 to 1:1,000) dilutions of C. trachomatis serovar E DNA template. After 35 cycles of amplification, the PCR products were cleaned up using a QIAquick PCR purification kit (QIAGEN, Germantown, MD); the sizes and concentrations of the purified products were monitored by agarose gel electrophoresis in the presence of ethidium bromide and by determining the optical density, respectively. All PCRs were done in duplicate to reduce introduction of errant nucleotides. The PCR products were then directionally cloned into the pBAD/HisA vector (Invitrogen, Carlsbad, CA) under the control of the araC promoter with an N-terminal six-histidine tag for recombinant protein detection and used to transform E. coli LMG194 by the traditional CaCl2 method (46). For each groEL gene, the recombinant plasmids from three clones were purified using a Concert nucleic acid purification kit (Invitrogen) and then sequenced to verify in-frame cloning and to determine the complete nucleic acid sequences.
Peptide antibodies. The predictive amino acid sequences of C. trachomatis serovar E Hsp60-1, Hsp60-2, and Hsp60-3 were aligned using the EditSeq and MegAlign software from DNAStar, Inc. (Madison, WI). Peptides that were 17 to 21 residues long, described by Giles et al. (21), were commercially synthesized, the purity was assessed by analytical high-pressure liquid chromatography and mass spectroscopy, and each peptide was subsequently used to immunize two female New Zealand White rabbits (Sigma-Genosys, The Woodlands, TX). The results of enzyme-linked immunosorbent assays were provided by the manufacturer to ensure reactivity.
The majority of antiserum from each bleed was immediately stored at 20°C upon receipt. One milliliter of antiserum from each bleed was kept at 4°C to determine the Western blot reactivities of the crude preimmune and immune sera against total protein from HEC-1B cells and E. coli LMG194 as controls and arabinose-induced recombinant E. coli LMG194(pJER516), LMG194(pJER517), and LMG194(pJER518). Immune sera exhibiting the most selective reactivity with the intended Hsp60 homolog were then placed on protein A columns (ImmunoPure immobilized protein A; Pierce, Rockford, IL) to purify immunoglobulin G, and Western blotting was performed to determine the degree of monospecificity and the reduction in the cross-reactivity with other E. coli proteins. Antiserum against the peptide from cHsp60-3 required a further step of adsorption against whole cells of arabinose-induced E. coli LMG194(pJER516) expressing cHsp60-1. A monoclonal antibody reagent (Sigma-Genosys, The Woodlands, TX) against the polyhistidine tag was also used in this study.
Protein quantitation, sodium dodecyl sulfate-polyacrylamide gel electrophoresis, Western blotting, and chemiluminescence. The total protein concentrations of samples were determined using the Micro BCA assay (Pierce, Rockford, IL). Cell pellets were resuspended in lysis buffer (10 mM Tris-HCl, 1 mM EDTA, 0.5 mg/ml lysozyme, 0.1 mg/ml DNase I, 10 mM CaCl2) and subjected to three freeze-thaw cycles. After the final thaw, samples were centrifuged at 8,000 x g for 10 min, and each supernatant was combined with denaturing sample buffer and heated at 100°C for 5 min. The proteins were resolved in small-format 4 to 12% bis-Tris NuPAGE gels (Invitrogen, Carlsbad, CA) and transferred to nitrocellulose membranes for Western blotting. Preliminary separations were conducted in large-format 12.5% polyacrylamide gels loaded with 1 mg of protein to accommodate multiple blots for screening and titrating antisera.
For Western blotting, membranes were blocked with Blotto-plus (5% [wt/vol] dry nonfat milk in phosphate-buffered saline, 0.1% [vol/vol] Tween 20, 10% [vol/vol] heat-inactivated fetal bovine serum), and washing was performed with phosphate-buffered saline containing 0.1% (vol/vol) Tween 20. Various dilutions were examined for the polyclonal peptide antisera generated against each of the cHsp60s, and a monoclonal antibody against the polyhistidine tag (Sigma- Genosys, The Woodlands, TX) was also used as a control. Specific signals were then detected either (i) by a colorimetric assay with an anti-rabbit alkaline phosphatase-conjugated secondary antibody and Western Blue substrate (Promega, Madison, WI) or (ii) by chemiluminescence using an anti-rabbit horseradish peroxidase conjugate, the SuperSignal West (Pierce) solution, and Kodak X-OMAT AR film.
Electron microscopy. Samples of C. trachomatis-infected polarized HEC-1B cells at 36 hpi were exposed to 500 µM Desferal for 30 min and 1 and 2 h; mock-exposed samples were used as controls. Each sample was immediately washed, fixed, processed, and embedded in Epon-araldite and Lowicryl (Polysciences, Inc.) for high-contrast electron microscopy and immunoelectron microscopy, respectively, as described by Giles et al. (21).
Visualization and image capture were done using a Philips Tecnai 10 transmission electron microscope (FEI Company, Hillsboro, OR) operating at 80 kV.
Nucleotide sequence accession numbers. The sequences determined in this study have been deposited in the GenBank database under the following accession numbers: AY447001 for C. trachomatis serovar E groEL-1, AY447002 for C. trachomatis serovar E groEL-2, and AY447003 for C. trachomatis serovar E groEL-3.
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FIG. 1. PCR amplification of C. trachomatis serovar E groEL. (A) Initial attempt to amplify groEL-1, groEL-2, and groEL-3 (lanes 1, lanes 2, and lanes 3, respectively) using a C. trachomatis serovar E DNA template and primers based on the sequence of C. trachomatis serovar D. (B) Strategy used to amplify groEL-3 and flanking sequences. (C) Result of amplification of groEL-3 and flanking sequences. Lanes 1 through 5 contained areas indicated in panel B, and amplification of groEL-1 was used as a control. (D) Difference in the starting sequences of C. trachomatis serovars D and E. (E) Amplification of C. trachomatis serovar E groEL-1, groEL-2, and groEL-3 with redesigned primers for groEL-3.
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FIG. 2. Specificity of peptide antisera and response of cHsp60-2 to iron deprivation. (A) Samples used for Western blotting included uninfected HEC-1B cells, E. coli LMG194 alone, and arabinose-induced recombinants E. coli LMG194 (pJER516), LMG194 (pJER517), and LMG194 (pJER518), representing cHsp60-1, cHsp60-2 and cHsp60-3, respectively. An anti-His tag monoclonal antibody was used as a control (upper left panel). (B) Samples included uninfected HEC-1B cells (control) (lanes C), cells mock exposed for 30 min and 1 and 2 h, and cells exposed to Desferal for 30 min and 1 and 2 h. One milligram of protein was loaded onto preparative gels (A), whereas 15 µg was loaded into each lane in panel B. Arrowheads indicate the position of cHsp60. The asterisk indicates the position of a major proteolytic product of cHsp60-2, and the circle indicates the position of a cross-reactive protein in HEC-1B cells.
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Immunoelectron microscopy. To confirm that C. trachomatis cHsp60-2 is iron responsive, the final experiment involved examination of thin sections by immunoelectron microscopy. Multiple images were captured, saved as TIFF files, and printed; 2-µm square grids were used to enclose 10 to 15 randomly selected squares containing chlamydial reticulate bodies (RB) on prints of each sample, and the gold particles in each box were counted (Fig. 3).
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FIG. 3. Immunolabeling transmission electron microscopy showing the response of cHsp60-2 to iron limitation. Chlamydia-infected HEC-1B cells at 36 hpi were either not exposed to Desferal (A, C, and E) or exposed to 500 µM Desferal (B, D, and F) for 1 h and labeled using a 1:100 (vol/vol) dilution of anti-cHsp60-1 (A and B), a 1:20 (vol/vol) dilution of anti-cHsp60-2 (C and D), or a 1:40 (vol/vol) dilution of anti-cHsp60-3 (E and F). A 15-nm gold-conjugated anti-rabbit serum (Amersham Biosciences) was used at a 1:200 (vol/vol) dilution for visualization. Bars = 0.5 µm. The arrowheads indicate gold particles.
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Belland et al. (4) conducted a comprehensive microarray study of C. trachomatis serovar D transcription and compared standard growth and growth of IFN-
-mediated persistent chlamydiae in HeLa 229 cells. None of the groEL transcripts varied significantly for the first 24 h; however, by 48 hpi, transcription of groEL-1 had increased 2.8-fold due to tryptophan depletion by IFN-
. Tryptophan is an essential amino acid for C. trachomatis. A separate group of investigators examined transcription using quantitative real-time PCR for three distinct modes of persistence, exposure to IFN-
, penicillin G, and iron depletion, in C. psittaci growing in HEp-2 cells (22). At 24 hpi, groEL-1 was upregulated only in the penicillin G model of persistence; IFN-
persistence actually resulted in significant downregulation of groEL-1. Downregulation of groEL-1 was also observed by 48 hpi for C. psittaci persistence induced by iron deprivation; groEL-2 was not examined in this study. Using a different stress environment, Karunakaran and colleagues (28) examined transcription using a heat shock model. HeLa 229 cells were infected with C. trachomatis serovar D for 18 h and subsequently subjected to a 10-min heat pulse at 45°C. mRNA was quantified using a microarray procedure, and the results showed that there was a >5-fold increase in groEL-1 transcripts; the quantities of the groEL-2 and groEL-3 transcripts did not change. In studies of protein expression, expression of C. trachomatis serovar A cHsp60-1, as determined using Western blotting and an anti-cHsp60-1 monoclonal antibody, was enhanced in an in vitro model of IFN-
-mediated persistence (2). For C. pneumoniae cHsp60-1, there was a twofold increase in expression at 48 hpi with the following three different models of persistence and/or stress: (i) IFN-
exposure, (ii) iron deprivation, and (iii) heat shock (39).
Our findings are more consistent with results reported by Gerard and colleagues (20). These investigators quantified mRNA for each groEL homolog in C. trachomatis serovar K using real-time reverse transcription-PCR with the following systems: (i) active infection in HEp-2 cells, (ii) persistent infection in human monocytes, and (iii) synovial tissue from patients with Chlamydia-associated arthritis. In active HEp-2 cell infection, all groEL transcripts were present beginning at 8 hpi, and the levels increased throughout chlamydial development; groEL-3 was transcribed at the highest levels. In the monocyte persistence model, the levels of groEL-1 and groEL-3 transcripts were low, whereas the level of the groEL-2 transcripts increased threefold over 3 days as the organisms entered the persistent state. Findings for the synovial tissues also showed that the levels of groEL-2 transcripts were high. Comparisons of our model with this model of C. trachomatis serovar K persistence in monocytes may not be entirely legitimate because our model involves C. trachomatis serovar E, a less invasive organism, in epithelial cells, but the observations are intriguing nonetheless.
From the standpoint of immunopathogenesis, the importance of cHsp60s in disease has been the subject of several excellent reviews (9, 13, 14, 16, 26, 30, 34, 40). Our previous work, performed with the antisera generated in this study, showed that cHsp60-2 and cHsp60-3, but not cHsp60-1, escape from chlamydial inclusions via vesicle eversion, a process that is exacerbated by exposure to azithromycin (21, 44). The vesicles are thought to interact with host cell antigen presentation and to contribute to the inflammatory response. Studies of heat shock proteins, in general, are being performed since heat shock proteins carry antigens and deliver peptides to the major histocompatibility complex, thus priming the adaptive immune response by inducing specific B and T cells in the absence of adjuvants (41). Heat shock proteins also participate in the innate immune response by stimulating the production of chemokines (41). In one study, cHsp60 serum antibodies were shown to be the best predicting factor for tubal factor infertility (51). Mapping of cHsp60-1 peptide epitopes in human sera has been done (50, 54); it may be worthwhile to investigate whether peptides of cHsp60-2 and/or cHsp60-3 contribute to the generation of specific immunoglobulins.
GroEL proteins are essential for bacterial growth and ensure that newly synthesized proteins are functional; expression of GroEL proteins increases in response to a variety of stresses, including heat shock and nutrient deprivation (56). Structural studies of cHsp60s have shown that although the primary amino acid sequences of cHsp60s differ from the primary amino acid sequences of other organisms, amino acid residues involved in binding polypeptides are conserved (28). It is also clear that cHsp60-1 is negatively regulated by the interaction of a negative regulator, HcrA, with a CIRCE element in the operator regions of the groES-groEL-1 and dnaK operons; HrcA does not appear to regulate groEL-2 or groEL-3 (53). Although the results of studies of C. trachomatis serovar K persistence and synovial fluid support the hypothesis that there is regulation of chlamydial groEL-2 at the level of transcription, there appears to be no Fur/DcrA binding site in upstream sequences. There is only a partial Fur box approximately 300 bp downstream in C. trachomatis serovar E groEL-2; determining whether DcrA binds to groEL-2 sequences is part of a separate project in our laboratory. A likely alternative mechanism for enhanced expression of cHsp60-2 may involve small RNAs that regulate genes posttranscriptionally or by stabilization of mRNA; numerous iron-responsive proteins in other bacteria are known to be regulated in this fashion (25). Chlamydiae code for several small RNAs (5). Finally, the increased level of cHsp60-2 might also involve protein stability. For example, when E. coli GroEL is bound to an unfolded substrate in vitro, the complex remains stable at 25°C for more than 2 weeks; at 43°C, the half-life is 1.5 h (36).
Overall, the results of this study and our previous work (21, 43) strongly indicate that cHsp60-2 should be considered a potential mediator of immune-mediated damage, and they mechanistically indicate that not all modes of chlamydial persistence are identical.
Our appreciation is extended to Priscilla B. Wyrick and Robert V. Schoborg for helpful suggestions and advice.
Published ahead of print on 16 February 2007. ![]()
This paper is dedicated to the memory of our friend and colleague, Jane E. Raulston (12 February 2007). ![]()
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-mediated persistence and reactivation. Proc. Natl. Acad. Sci. USA 100:15971-15976.
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